Individual
PETRA WATTIGNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 N GERMANTOWN PKWY STE 107, CORDOVA, TN 38016-3328
(901) 509-8347
(855) 430-0596
Mailing address
3075 WOODLAND CREST DR, LAKELAND, TN 38002-3908
(225) 305-0313
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51975
TN
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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